0001571995-16-000004.txt : 20160906 0001571995-16-000004.hdr.sgml : 20160906 20160906103803 ACCESSION NUMBER: 0001571995-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160906 DATE AS OF CHANGE: 20160906 EFFECTIVENESS DATE: 20160906 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PillPack, Inc. CENTRAL INDEX KEY: 0001571995 IRS NUMBER: 461938720 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270092 FILM NUMBER: 161870105 BUSINESS ADDRESS: STREET 1: 50 GROVE STREET CITY: SOMERVILLE STATE: MA ZIP: 02144 BUSINESS PHONE: 855-745-5725 MAIL ADDRESS: STREET 1: 50 GROVE STREET CITY: SOMERVILLE STATE: MA ZIP: 02144 D 1 primary_doc.xml X0707 D LIVE 0001571995 PillPack, Inc. 120 Beacon Street 4th Floor SOMERVILLE MA MASSACHUSETTS 02143 (617) 794-3393 DELAWARE None None Corporation true 2013 Timothy Parker 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Executive Officer Director Elliot Cohen 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Executive Officer Director John Lee 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Executive Officer Fred Destin 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Director David Frankel 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Director George Zachary 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Director Jeff Fagan 120 Beacon Street 4th Floor Somerville MA MASSACHUSETTS 02143 Director Other Health Care Decline to Disclose 06b false 2016-08-22 false true false 0 40000000 31100023 8899977 false 6 0 0 0 false PillPack, Inc. Timothy Parker Timoty Parker CEO 2016-09-01